Individual
JAMES CHESTER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2715 W COURT ST, PASCO, WA 99301-3911
(509) 547-8409
(509) 544-7875
Mailing address
2715 W COURT ST, PASCO, WA 99301-3911
(509) 547-8409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00004061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222797
DEPT OF LABOR & INDUSTRY
WA
05
—
2033561
—
WA
01
—
P00425941
RAILROAD MEDICARE
WA
Enumeration date
09/17/2006
Last updated
08/15/2025
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